NPI | 1053546416 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: CA A149698) |
Additional Taxonomies | 207N00000X Dermatology (Licence: KY 47222) |
207N00000X Dermatology (Licence: MN 54232) | |
207N00000X Dermatology (Licence: CA v149698) | |
207N00000X Dermatology (Licence: OH 35123652) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2009-05-28 |
Last Update Date | 2022-02-02 |